Question

33 of 50
a client is admitted to the hospital with a diagnosis of benign prostatic hyperplasia, and a transurethral resection of the prostate is performed. four hours after surgery, the nurse takes the clients vital signs and empties the urinary drainage bag. which assessment finding indicates the need to notify the primary health care provider (phcp)?
rationale, strategy, tip.
answer options
1 red, bloody urine
2 pain rated as 2 on a 0 to 10 pain scale
3 urinary output of 200 ml higher than intake
4 blood pressure, 100/50 mm hg; pulse, 130 beats per minute

Explanation:

To determine the assessment finding requiring PHCP notification, analyze each option:

1. Red, bloody urine: Expected post - transurethral resection of prostate (TURP) initially, not urgent.
2. Pain rated 2/10: Mild pain, manageable, not urgent.
3. Urinary output > intake: Could be due to diuresis or accurate measurement, not critical.
4. BP 100/50, pulse 130: Low blood pressure (hypotension) and tachycardia suggest hypovolemia/shock, a critical complication post - surgery needing immediate PHCP notification.

Answer:

1. Blood pressure, 100/50 mm Hg; pulse, 130 beats per minute